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Related Experiment Videos

Hemifacial microsomia: a multisystem classification.

D J David1, C Mahatumarat, R D Cooter

  • 1South Australian Cranio-Facial Unit, Adelaide Children's Hospital, Australia.

Plastic and Reconstructive Surgery
|October 1, 1987
PubMed
Summary
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Hemifacial microsomia (HFM) classification is challenging due to varied deformities. A new multisystem approach, the Skeletal-Auricular-Soft tissue (SAT) classification, offers a standardized method for grading HFM severity.

Area of Science:

  • Craniofacial Surgery
  • Medical Imaging
  • Genetics

Background:

  • Hemifacial microsomia (HFM) presents diverse deformities, hindering standardized classification.
  • Existing classification systems often focus on single anatomical structures, limiting comprehensive assessment.
  • The variability in HFM necessitates a more cohesive and universally applicable grading system.

Purpose of the Study:

  • To review existing hemifacial microsomia classifications.
  • To propose a novel, multisystem classification for HFM.
  • To introduce the Skeletal-Auricular-Soft tissue (SAT) classification for improved HFM assessment.

Main Methods:

  • Comprehensive literature review of HFM classification systems.
  • Development of a TNM-style alphanumeric coding system.

Related Experiment Videos

  • Defining distinct severity levels for skeletal, auricular, and soft tissue components.

    • Main Results:

    • The proposed Skeletal-Auricular-Soft tissue (SAT) classification integrates multiple deformity aspects.
    • SAT provides a standardized alphanumeric code (S1-S5, A0-A3, T1-T3) for HFM severity.
    • This system offers cohesion to existing HFM classifications, enabling clearer communication.

    Conclusions:

    • The SAT classification offers a unified approach to grading hemifacial microsomia.
    • This multisystem method addresses the variability of HFM deformities.
    • SAT facilitates consistent documentation and treatment planning for HFM patients.